Daniel Wesche, MD
Surgery · Flagstaff, AZNPI 1013985191
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $107,982 of the $119,256 with a category attached, or 90.5%. Medical Device Business Services, Inc. accounts for 66.3% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $47,196 and has fallen 97.7% since, to $1,099 in 2025. Among surgery clinicians in AZ with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 115 payments — averaging $1037.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$79K
- Centinel Spine, LLC$33K
- Depuy Synthes Products, Inc.$5K
- Alphatec Spine, Inc$1K
- Johnson & Johnson$573
- TELA Bio, Inc.$220
- plus $449 from 11 others
What the payments were for
- Consulting fees$107,98291%
- Travel & lodging$7,5536%
- Food & beverage$3,7213%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medical Device Business Services, Inc. | 50 | $79,046 |
| Centinel Spine, LLC | 29 | $33,040 |
| Depuy Synthes Products, Inc. | 6 | $4,647 |
| Alphatec Spine, Inc | 5 | $1,282 |
| Johnson & Johnson(2 entities) | 8 | $573 |
| TELA Bio, Inc. | 4 | $220 |
| Lifenet Health | 1 | $175 |
| Stryker | 2 | $72 |
| Baxter Healthcare | 2 | $42 |
| Mimedx Group, Inc. | 1 | $29 |
| Surgenex LLC | 1 | $24 |
| Boston Scientific | 1 | $22 |
| 180 Medical, Inc. | 1 | $20 |
| Dilon Technologies, Inc. | 1 | $18 |
| Kaleo, Inc. | 1 | $17 |
| Covidien LP | 1 | $16 |
| Innocoll Pharmaceuticals Limited | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- VIPER$79,343
- SYNFIX$41,593
- SYNFIX Evolution$38,303
- PRODISC C$27,407
- EXPEDIUM$19,941
- ZERO-P$19,941
- PRODISC L$4,909
- Other - Miscellaneous$1,082
- Allograft VMIS Delivery System$175
- Solus ALIF$154
- ANTEGRA$113
- SPOTLIGHT$104
How this compares
$119,256 in reported general payments places this provider in the 95th percentile of 614 surgery providers in Arizona.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $104 |
Paid to pharmacies, not to this prescriber.
Other surgery in Flagstaff
- Hadi NajafianSun City$1.6M
- Conrad BallecerPhoenix$893K
- Jennifer PrestonPhoenix$320K
- Ramon MoureloCasa Grande$317K
- Simon LavotshkinYuma$309K
- Morgan CriggerPhoenix$235K
- Ryan PinnellGlendale$225K
- Vikram DekaPhoenix$154K
- Eric ThomasPeoria$149K
- Rifat LatifiTucson$144K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.